Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.71 / $54.71 / $54.71	Facility	26	$54.71	$54.71	$54.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $232.72 / $303.50	Professional		$148.19	$232.72	$303.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $54.71 / $119.69	Professional	26	$48.57	$54.71	$119.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.81 / $184.15 / $226.00	Professional	TC	$94.81	$184.15	$226.00
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $44.92 / $44.92 / $44.92	Facility	26	$44.92	$44.92	$44.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.22 / $441.05 / $534.92	Professional		$263.22	$441.05	$534.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.59 / $153.79 / $186.52	Professional	26	$92.59	$153.79	$186.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $200.73 / $287.26 / $348.41	Professional	TC	$200.73	$287.26	$348.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.39 / $186.33 / $448.25	Facility	26	$119.39	$186.33	$448.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.51 / $293.26 / $592.01	Professional		$226.51	$293.26	$592.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.06 / $101.19 / $176.64	Professional	26	$61.06	$101.19	$176.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.24 / $195.29 / $410.06	Professional	TC	$151.24	$195.29	$410.06
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $103.46 / $164.28 / $352.95	Facility	26	$103.46	$164.28	$352.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $230.91 / $288.64 / $545.62	Professional		$230.91	$288.64	$545.62
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $79.68 / $99.10 / $160.85	Professional	26	$79.68	$99.10	$160.85
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $151.24 / $189.04 / $385.47	Professional	TC	$151.24	$189.04	$385.47
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $502.08 / $502.08 / $502.08	Facility	26	$502.08	$502.08	$502.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.13 / $325.70 / $1,547.04	Professional		$181.13	$325.70	$1,547.04
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $104.71 / $363.24	Professional	26	$57.74	$104.71	$363.24
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $118.63 / $212.74 / $1,263.33	Professional	TC	$118.63	$212.74	$1,263.33
United Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $295.52 / $551.50	Professional		$165.65	$295.52	$551.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.72 / $100.31 / $176.04	Professional	26	$56.72	$100.31	$176.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.91 / $194.51 / $364.53	Professional	TC	$107.91	$194.51	$364.53